| NPI | 1689850745 |
|---|---|
| Former Name | LORI RENEE SIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17970) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 17970) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2016-10-07 |